NUR 167 Exam 2 Study Questions and
Answers
Definition of Gestational HTN? ✅Blood pressure elevation detected first time after 20
weeks
gestation without proteinuria
Definition of Transient HTN? ✅Gestational hypertension with no signs of pre-
eclampsia
present at the time of delivery and hypertension resolves
by 12 weeks after birth (This is a retrospective dx.)
Definition of Pre-eclampsia? ✅Pregnancy specific syndrome that usually occurs after
20
weeks gestation and is determined by gestational
hypertension and proteinuria
Definition of Eclampsia? ✅The occurrence of seizures in a woman with preeclampsia
that cannot be attributed to other causes
Definition of Chronic Hypertension? ✅Hypertension that is present and observable
before
pregnancy, diagnosed before 20 weeks , or extends beyond
12 weeks postpartum
Signs and Symptoms of hypertension disorders? ✅BP 140/90 x 2
Proteinuria
elevated liver enzymes
edema
Nursing care for HTN disorders? ✅accurate BP
education
fetal monitoring
activity restrictions
monitor weight gain
ascultate lungs
assess for pulmonary edema
seizure procaution
I & O's
assess for Mg sulfate toxicity
Magnesium Sulfate ✅smooth muscle relaxant
increases seizure threshold
, IV piggy back
loading dose of 2-4gm then 2g/ hr
assess maternal reflexes, respiratory rate, and urinary output
Antidote for Magnesium toxicity ✅Calcium Gluconate
Risk factors for gestational diabetes? ✅obesity
family hx
>35
previous baby > 9lb
Antepartum care of pregnant woman with heart condition? ✅watch for cardiac
decompensation
avoid constipation
avoid stress on heart
prophylactic abx given with valve disorders
Intrapartum care with heart condition? ✅ICU delivery
side lying position
avoid pushing
early epidural
Postpartum care with heart condition? ✅first 24-48 hours most crucial
in depth assessment
monitor for cardiac decompensation
breast feeding is okay if it isnt stressful
stool softeners
baseline in 2 weeks
Risks and complications for pre-gestational diabetes? (Type 1 & 2) ✅early pregnancy
loss
preterm labor
polyhydraminos
postpartum hemorrhage
C-Section
fetal death
macrosomia
hypoglycemia
Definition of macrosomia? ✅infant born greater than 4,000grams
Insulin needs during pregnancy? ✅1st trimester: insulin needs decrease
2nd trimester: insulin needs increase
Asthma during pregnacy? ✅peaks between 29-36 weeks
Answers
Definition of Gestational HTN? ✅Blood pressure elevation detected first time after 20
weeks
gestation without proteinuria
Definition of Transient HTN? ✅Gestational hypertension with no signs of pre-
eclampsia
present at the time of delivery and hypertension resolves
by 12 weeks after birth (This is a retrospective dx.)
Definition of Pre-eclampsia? ✅Pregnancy specific syndrome that usually occurs after
20
weeks gestation and is determined by gestational
hypertension and proteinuria
Definition of Eclampsia? ✅The occurrence of seizures in a woman with preeclampsia
that cannot be attributed to other causes
Definition of Chronic Hypertension? ✅Hypertension that is present and observable
before
pregnancy, diagnosed before 20 weeks , or extends beyond
12 weeks postpartum
Signs and Symptoms of hypertension disorders? ✅BP 140/90 x 2
Proteinuria
elevated liver enzymes
edema
Nursing care for HTN disorders? ✅accurate BP
education
fetal monitoring
activity restrictions
monitor weight gain
ascultate lungs
assess for pulmonary edema
seizure procaution
I & O's
assess for Mg sulfate toxicity
Magnesium Sulfate ✅smooth muscle relaxant
increases seizure threshold
, IV piggy back
loading dose of 2-4gm then 2g/ hr
assess maternal reflexes, respiratory rate, and urinary output
Antidote for Magnesium toxicity ✅Calcium Gluconate
Risk factors for gestational diabetes? ✅obesity
family hx
>35
previous baby > 9lb
Antepartum care of pregnant woman with heart condition? ✅watch for cardiac
decompensation
avoid constipation
avoid stress on heart
prophylactic abx given with valve disorders
Intrapartum care with heart condition? ✅ICU delivery
side lying position
avoid pushing
early epidural
Postpartum care with heart condition? ✅first 24-48 hours most crucial
in depth assessment
monitor for cardiac decompensation
breast feeding is okay if it isnt stressful
stool softeners
baseline in 2 weeks
Risks and complications for pre-gestational diabetes? (Type 1 & 2) ✅early pregnancy
loss
preterm labor
polyhydraminos
postpartum hemorrhage
C-Section
fetal death
macrosomia
hypoglycemia
Definition of macrosomia? ✅infant born greater than 4,000grams
Insulin needs during pregnancy? ✅1st trimester: insulin needs decrease
2nd trimester: insulin needs increase
Asthma during pregnacy? ✅peaks between 29-36 weeks
